| NPI | 1356330161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA 087627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A087627) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-03-07 |