| NPI | 1992305858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202010445NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021858) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-11-12 |