| NPI | 1518648963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A175314) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-08-24 |