| NPI | 1326452376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994136) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-10-18 |