| NPI | 1376523258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 49832) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-08-08 |