| NPI | 1396051249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 004423) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2022-04-28 |