| NPI | 1699495515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD F08221237) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-01-23 |