| NPI | 1811756844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MS 906493) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: LA 234680) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-14 |