| NPI | 1699421370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24920) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 24920) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC F09200040) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-01-11 |