| NPI | 1679892335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-980A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 21530) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2021-09-05 |