| NPI | 1629058433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164233) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2022-08-15 |