| NPI | 1790413391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 262723) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-07-20 |