| NPI | 1982311072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F06231436) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-12-04 |