| NPI | 1548517972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1201A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 32400.1256) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2024-02-29 |