| NPI | 1194907568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 00503117) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-01-11 |