| NPI | 1518686948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018007) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11021511) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-05-03 |