| NPI | 1659818474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6938) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2022-11-28 |