| NPI | 1578634200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30588) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45141) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-11-09 |