| NPI | 1093863433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R854737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-112187) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-06-23 |