| NPI | 1427785427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997841-NP) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-12-14 |