| NPI | 1598190373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023050329) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2025-01-08 |