| NPI | 1619383957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014473) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 270424) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-09-09 |