| NPI | 1811338072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R877480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 224460) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-04-18 |