| NPI | 1558910851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS MCCL-JMNG9Q) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903546) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-10-22 |