| NPI | 1346831419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS F01211466) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-04-12 |