| NPI | 1396918827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 224315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN154328) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-04-14 |