| NPI | 1760076046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 236755) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA 236755) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-07-28 |