| NPI | 1780847731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2001030526) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-06-05 |