| NPI | 1811522949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 63740-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 63740) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-11-09 |