| NPI | 1124256706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05918) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN084371-AP05918) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-10-31 |