| NPI | 1376285262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R33706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A167681) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-06-02 |