| NPI | 1861161267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A165492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 133979) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |