| NPI | 1780162032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201806197NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017695) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-08-29 |