| NPI | 1578097143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN253134) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-07-27 |