| NPI | 1437741535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10764) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-11-02 |