| NPI | 1790298842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21350) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2024-02-08 |