| NPI | 1720494701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 252235) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-08-02 |