| NPI | 1841639051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 11049) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-08-07 |