| NPI | 1780329268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A165897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115243) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-03-13 |