| NPI | 1740941459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC FOUS-92DIU) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-09-29 |