| NPI | 1821565540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 183937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25092) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2022-03-21 |