| NPI | 1538754189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023630) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2024-02-09 |