| NPI | 1861129744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5016756) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 0000000) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-29 |