| NPI | 1528732120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD cP002126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD F06212548) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-10-04 |