| NPI | 1043334667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 154282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201706) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-01-27 |