| NPI | 1124485883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173195) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2024-11-08 |