| NPI | 1194858134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013744) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9192287) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-06-26 |