| NPI | 1093962086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26787A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004067) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2022-12-20 |