| NPI | 1992384341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC with-wsmi8) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-08-09 |