| NPI | 1881116796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9334103) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8820) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-10-31 |