| NPI | 1497857825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 341899) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-04-19 |