| NPI | 1861276792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2023032360) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-11-06 |