| NPI | 1376052332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21279) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-29 |