| NPI | 1730545534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A163840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015406) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2021-11-21 |