| NPI | 1821361114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264830) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2024-09-11 |