| NPI | 1902264195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008310) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 122231) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2024-08-02 |