| NPI | 1427792092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2022006636) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-05-27 |