| NPI | 1669814513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5018585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP07307) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: LA AP07307) | |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2023-08-07 |