| NPI | 1164852703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001272) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2023-10-12 |