| NPI | 1942857529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A159977) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9547-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA F06191468) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-01-23 |