| NPI | 1134451206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168630) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2023-08-10 |