| NPI | 1801273404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010991) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 248906) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2021-03-11 |