| NPI | 1659458263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9347855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 137367) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP025677) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-09-25 |