| NPI | 1396369039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 228282) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-10-07 |