| NPI | 1851579742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A177718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 128272) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2024-07-02 |