| NPI | 1790446847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.25742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC TOON-SNPBX) |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2023-09-27 |