| NPI | 1598206989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174494) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2022-01-03 |