| NPI | 1235235615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9319191) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 16957) |
| 363L00000X Nurse Practitioner (Licence: SC APN1879) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-02-01 |