| NPI | 1124255658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 054912-23) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 054912-23) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2023-02-15 |