| NPI | 1669142782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017329) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5017329) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5017329) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-12-19 |