| NPI | 1902431885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01200458) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2021-08-21 |