| NPI | 1609039841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 1561577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200743435RN) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2025-01-02 |