| NPI | 1871109405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.24262) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2022-05-25 |