| NPI | 1194843870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 40325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 957) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-08-21 |