| NPI | 1720334725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21482) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012154) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-06-18 |