| NPI | 1285832360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 089006127N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007648) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-10-19 |