| NPI | 1780124073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.20794 APRN) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2023-03-03 |