| NPI | 1982021770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3249442) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2022-11-09 |