| NPI | 1306182381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 319457) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2023-09-11 |