| NPI | 1598764250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2102) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2024-09-12 |