| NPI | 1720035397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 27693) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-09-20 |