| NPI | 1851026769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 227392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA F07221055) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2022-11-02 |