| NPI | 1558726026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111949) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A157139) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-01-26 |