| NPI | 1093189011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20719) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2024-05-09 |