| NPI | 1164721981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202109248NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A116569) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2024-06-17 |