| NPI | 1144662750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2273076) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2023-03-17 |