| NPI | 1225035405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-03237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN085533 AP04525) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-03-10 |