| NPI | 1528594926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R44443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR R097248) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2021-06-25 |