| NPI | 1033299581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247247) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18293) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-07-15 |