| NPI | 1427565076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001530) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2024-03-11 |