| NPI | 1720574361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 885758) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 885758) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2022-06-07 |