| NPI | 1487179818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 219554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7119) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2024-10-01 |