| NPI | 1811777113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R44944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR R44944) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-02-06 |