| NPI | 1396714572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18953) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024118054) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-12-18 |