| NPI | 1194049148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-960A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 960A) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-08-25 |