| NPI | 1619658770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN621439) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-02-23 |