| NPI | 1427680792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021472) |
| 363L00000X Nurse Practitioner (Licence: PA SP021472) | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-06-28 |