| NPI | 1730546821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 196391) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2022-06-20 |