| NPI | 1417219338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09555) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: LA RN108342) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2022-07-21 |