| NPI | 1457015703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F10210943) |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2023-03-08 |