| NPI | 1053347567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 044027-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 865462) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-05-05 |