| NPI | 1447982913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020435) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-11-25 |