| NPI | 1598334955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014591) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 275086) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-23 |