| NPI | 1790173599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R866059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 866059) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2022-09-08 |