| NPI | 1497875876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 858800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 85880) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-04-05 |