| NPI | 1952088171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.27909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028613) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-10-21 |