| NPI | 1427563626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F10171001) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2022-03-11 |