| NPI | 1134349996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 132417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO RN132417) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-12-06 |