| NPI | 1497213953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22697) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2020-10-26 |