| NPI | 1427711191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020023) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1048566) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-10-16 |