| NPI | 1467142356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 153969) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-06-29 |