| NPI | 1487241956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A162438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 147640) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-04-15 |