| NPI | 1699359786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 57552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 57552) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-11-03 |