| NPI | 1851842710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 272249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9438070) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-04-01 |