| NPI | 1346648706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-130879) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-130879) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2023-12-11 |