| NPI | 1508434143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 159240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9218243) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |