| NPI | 1750911053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005600) |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2023-08-22 |