| NPI | 1578156782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 126357) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-03-19 |