| NPI | 1699101584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009260) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2024-05-08 |