| NPI | 1962904581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21713) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-07-14 |