| NPI | 1396454724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26794) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-08-15 |