| NPI | 1720387939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000168677) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-12-26 |