| NPI | 1760850382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19256) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2024-03-20 |