| NPI | 1285825646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993114) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2023-08-01 |