| NPI | 1699883603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 033420) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: LA AP033420) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-08-30 |