| NPI | 1467183376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F06220433) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-12-14 |