| NPI | 1609435684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 246166) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-11-03 |