| NPI | 1841337417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-066260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R881358) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-08-20 |