| NPI | 1508201757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID N-34055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-27322) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-10-02 |