| NPI | 1073560009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200250055np) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-862A) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-01-24 |