| NPI | 1497901805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 1915TAP) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2021-05-20 |