| NPI | 1932463288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06967) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA TAP002933) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-06-06 |