| NPI | 1386639482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012041695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 8973) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-07-21 |