| NPI | 1669138145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2021036095) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-03-04 |