| NPI | 1649684267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171515) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-05-29 |