| NPI | 1669827978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 197605) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-11-05 |