| NPI | 1447816921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1623672) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-01-25 |