| NPI | 1710433495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC S6OST3) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-08-11 |