| NPI | 1952001505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A173477) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A173477) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-11-15 |