| NPI | 1033580253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2015014160) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-08-19 |