| NPI | 1841969359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016644) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-12-24 |