| NPI | 1528487097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017036846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991112) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-12-13 |