| NPI | 1407520463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 221523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 221523) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-06-20 |