| NPI | 1497716476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP539A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 813271) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2023-03-07 |