| NPI | 1518457886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 252625) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2023-12-01 |