| NPI | 1538624267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011449) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC SASS-376HC6) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-08-10 |