| NPI | 1114301439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112738) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201504590NP-PP) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2024-09-11 |