| NPI | 1891719589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 1720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC F1720) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC F1720) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-11-10 |