| NPI | 1558674598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011847) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2022-06-13 |