| NPI | 1427707900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015969) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 227038) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-04-01 |