| NPI | 1528212164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5824P) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2024-08-30 |