| NPI | 1114993441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 3004444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4444P) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-02-21 |