| NPI | 1821758897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA na) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2024-05-08 |