| NPI | 1063829315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 68479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-129131) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 68479) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-02-09 |