| NPI | 1437639762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21896) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 21896) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-05-25 |