| NPI | 1801366505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22738) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22738) |
| 363L00000X Nurse Practitioner (Licence: NC 5011737) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-02-12 |