| NPI | 1578975546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 153603) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-08-09 |