| NPI | 1346259454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-501A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-501A) |
| 363L00000X Nurse Practitioner (Licence: ID N1799) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-05-17 |