| NPI | 1952819039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1105248) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-105248) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2022-09-02 |