| NPI | 1366089112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005221) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2024-07-10 |