| NPI | 1568944585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 224185) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2021-04-09 |