| NPI | 1417731548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 897662) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-10-25 |