| NPI | 1548821747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019025317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F06192573) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-08-25 |