| NPI | 1174578330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R18828) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD 283) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-01-06 |