| NPI | 1003142712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1199) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201601217NP-PP) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2022-08-01 |