| NPI | 1669441697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R34251) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-11-13 |