| NPI | 1477994507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 207Q00000X) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2022-08-24 |