| NPI | 1295961985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 89851) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2021-11-03 |