| NPI | 1578850822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4485) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 4485) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-11-08 |