| NPI | 1891952115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN119051) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-07-15 |