| NPI | 1700948411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 005002308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002308) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2022-06-23 |