| NPI | 1447478342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904746) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29839) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-09-19 |