| NPI | 1831738871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A157048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A1557048) |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2024-03-21 |