| NPI | 1447530936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R864382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 864382) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2024-12-04 |