| NPI | 1669146312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 171765) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2022-07-05 |