| NPI | 1336621440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A135632) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-03-30 |