| NPI | 1396413118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A165750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 84235) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-24 |