| NPI | 1922633361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 227788) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2021-07-07 |