| NPI | 1841916806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS ROBI-QOT5J1) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 905656) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-07-02 |