| NPI | 1932105384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R67811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 150574) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-08-30 |