| NPI | 1821013491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-132780) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-04-22 |