| NPI | 1548500036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007903) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2023-12-18 |