| NPI | 1891379640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017822) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2023-03-21 |