| NPI | 1275605891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015047) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 167431) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-10-23 |