| NPI | 1982109070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 181196) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-03-06 |