| NPI | 1477832475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005170) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2022-11-08 |