| NPI | 1629287610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 160469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-03011) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-02-13 |