| NPI | 1336818012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC BROO-KZXG3) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5015095) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-04-04 |