| NPI | 1861271348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229676) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |