| NPI | 1649667049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 275877) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-02-21 |