| NPI | 1033380381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 225167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001028895) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2024-04-05 |