| NPI | 1023343621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 164488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 78800) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-05-24 |