| NPI | 1689750614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1725A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 287997-4405) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-06-03 |