| NPI | 1467011940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011853) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011853) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183038) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-02-18 |