| NPI | 1902588759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 232006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 129353) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-09-18 |