| NPI | 1184045957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F0612235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-105210) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2024-10-16 |