| NPI | 1467990473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009284) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009284) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-09-12 |