| NPI | 1588219083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020416) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 171476) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-12-21 |