| NPI | 1518627884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A169100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018020601) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2023-04-07 |