| NPI | 1669026845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 62034) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 4550727-4405) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2021-11-08 |