| NPI | 1831618339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010797) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5010797) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010797) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-07-15 |