| NPI | 1487272928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 207889) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2022-11-21 |