| NPI | 1952912511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202206138NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 291078) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2022-06-30 |