| NPI | 1467113324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 25746) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 213667) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-06-12 |