| NPI | 1457932907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181274) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-09-12 |