| NPI | 1477957421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 08027) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2021-11-23 |