| NPI | 1932607090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp018522) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA rn675921) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-02-07 |