| NPI | 1730393893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 900315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164830) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-01-22 |