| NPI | 1689925760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5005849) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5005849) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2022-03-17 |