| NPI | 1558907238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003285) |
| 363L00000X Nurse Practitioner (Licence: NC 5012565) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2021-08-24 |