| NPI | 1174859524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 4045-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WI 4045-33) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-06-13 |