| NPI | 1245521665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 699691) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R699691) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-01-10 |