| NPI | 1740901016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 234245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021380) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-02-23 |