| NPI | 1760978969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5012399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22042) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-07-01 |