| NPI | 1588760904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 1211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201657) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-03-07 |