| NPI | 1932758190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22966) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-09-13 |