| NPI | 1871163097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 1952405052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F06211529) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-01-20 |