| NPI | 1902217078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07788) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 07788) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-09-20 |