| NPI | 1649939059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F11210912) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2023-02-01 |