| NPI | 1821643388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23118) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-02-28 |