| NPI | 1538628110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 23867) |
| 363L00000X Nurse Practitioner (Licence: NC 511574) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2024-10-31 |