| NPI | 1861890477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F1114398) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2021-07-06 |