| NPI | 1477848380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R861534) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-04-18 |