| NPI | 1255588778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23937) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-07-18 |