| NPI | 1578136859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5014787) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC DAVI-GFHQC) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-28 |