| NPI | 1871172874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1032175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1032175) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-09-13 |