| NPI | 1437575180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07696) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN126418AP07696) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2022-12-15 |