| NPI | 1689008369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 238879) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2023-01-12 |