| NPI | 1477150340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 23511) |
| 363L00000X Nurse Practitioner (Licence: SC 23511) | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-02-11 |