| NPI | 1942882477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC COMB-123GX) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014374) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2024-11-21 |