| NPI | 1588912836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1723A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-34875) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-10-29 |