| NPI | 1346240926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03957) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN045398) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-10-21 |