| NPI | 1669992830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2718922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174962) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-11-17 |