| NPI | 1932697240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95007770) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 501156) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-04-11 |