| NPI | 1376630491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-185776) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11020138) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-11-09 |