| NPI | 1396263653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R34131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 231390) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-03-31 |