| NPI | 1346389152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN096482) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-12-05 |