| NPI | 1336270156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 810538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 7310) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-01-09 |