| NPI | 1497204119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014395) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-02-05 |