| NPI | 1982206686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC WINC-V6FJD) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2023-08-25 |