| NPI | 1588098321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 210640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006393) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2022-05-20 |