| NPI | 1154743011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 66587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R61856) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2024-11-26 |