| NPI | 1477873362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN106360-AP06092) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2025-07-03 |