| NPI | 1639378706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 50042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004002) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-07-06 |