| NPI | 1730157934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-058199) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R817185) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-02-02 |