| NPI | 1376190751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC SEMB-7IJN8Q) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-06-24 |