| NPI | 1932712627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 24323) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 218439) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-11-04 |