| NPI | 1396086096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9229087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7357) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2024-05-23 |