| NPI | 1801407325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 214982) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-03-26 |