| NPI | 1811604358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2022067322) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2024-02-02 |