| NPI | 1487798823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN075967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN075967 AP04510) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP04510) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-08-16 |