| NPI | 1811176761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 196343-4405) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: UT 1963434405) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2023-06-14 |