| NPI | 1710575642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013958) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 5013958) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-08-29 |