| NPI | 1477936961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 357711.1409) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-12-07 |