| NPI | 1740790658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS F07230054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902179) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-07-13 |