| NPI | 1770793085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243635) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-01-31 |