| NPI | 1891265914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10008493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 6406207-4405) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2023-08-09 |