| NPI | 1831609601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R34392) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD 4683) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R34392) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-09-18 |