| NPI | 1588210454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 23141) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: SC 23141) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-03-02 |