| NPI | 1952987596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A176314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 110880) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-09-23 |