| NPI | 1750886404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 58910) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NM R54951) |
| 363L00000X Nurse Practitioner (Licence: NM 58910) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-03-14 |