| NPI | 1003225376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 131790) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2024-04-10 |