| NPI | 1043440951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 500445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 171010) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2022-09-06 |