| NPI | 1598962870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A101966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110894) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-10-07 |