| NPI | 1396231569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5015314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176302) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-11-29 |