| NPI | 1689348245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 2020043036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F08200760) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-02-09 |