| NPI | 1437765021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 009188) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2022-01-09 |