| NPI | 1114263977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP46450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC CN1300584) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2023-10-18 |