| NPI | 1386104180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F11180526) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-01-09 |