| NPI | 1013249929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 30342.1158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111108) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2024-10-09 |