| NPI | 1568807386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID GNP-25364A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP1294A) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-09-26 |