| NPI | 1184767915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5000505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20826) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-02-08 |