| NPI | 1861063679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R214872) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-01-14 |