| NPI | 1609386374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03396) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM RN-77659) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2021-05-05 |