| NPI | 1629675145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 262540) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2022-07-26 |