| NPI | 1669199899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APN.26739) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-01-09 |