| NPI | 1083670285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 47021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 732) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-11-27 |