| NPI | 1669079356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25250) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181054) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC DEVA-TUJ22) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-06-15 |