| NPI | 1831840214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID TEMP71215) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 71215) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2023-03-13 |