| NPI | 1740775444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA f07180534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN579397) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-01-19 |