| NPI | 1932657962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010738) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-01-28 |