| NPI | 1992276208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011872) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22154) |
| Enumeration Date | 2018-12-13 |
| Last Update Date | 2023-11-09 |