| NPI | 1417501024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: ID 62301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID 62301) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2022-08-31 |