| NPI | 1831121292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN047625) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-04-19 |