| NPI | 1487271516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 235224) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-12-08 |