| NPI | 1427050822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN073931-AP03946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R869017) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-09-14 |