| NPI | 1750756367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 222171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901371) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2021-11-23 |