| NPI | 1093144719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 100121) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-08-22 |