| NPI | 1518506997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012870) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-11-08 |