| NPI | 1376519355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R14155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 255) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-03-07 |