| NPI | 1861989733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F03180955) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-02-06 |