| NPI | 1013272970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10028924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 6995788-4405) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2024-10-15 |