| NPI | 1346588696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021009935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4730) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2021-08-11 |