| NPI | 1629487087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN140472) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-11-28 |