| NPI | 1346433323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9315603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1440099) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1440099) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-02-13 |