| NPI | 1194842849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A080649) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IA A080649) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-10-09 |