| NPI | 1760517098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 20075D066NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 4984) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-11-18 |