| NPI | 1730887720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 27636) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2025-01-02 |