| NPI | 1689066151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS r852871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R852871) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-04-16 |