| NPI | 1972236719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 905423) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2024-06-12 |