| NPI | 1295999878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9421819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 3428-033) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-09-29 |