| NPI | 1801318498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 221797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902110) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-07-25 |