| NPI | 1548969173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC DURH-9EWXF) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |