| NPI | 1891267167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F1081710) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 202005) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2024-03-21 |