| NPI | 1235544339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 890984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07860) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-03-21 |