| NPI | 1841913845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26757) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 98134) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-11-03 |