| NPI | 1295981801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 27889) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3465-33) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-04-08 |