| NPI | 1649557950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 15669) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2024-09-17 |