| NPI | 1790169274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-078708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010509) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-05-13 |