| NPI | 1033422258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010022944) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-01-21 |