| NPI | 1972969566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN133272) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-09-14 |