| NPI | 1801024294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R28481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 3081) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-08-08 |