| NPI | 1346882305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 165435) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-08-10 |