| NPI | 1851948772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 2020038373NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1036536) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-08-10 |