| NPI | 1942258363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA PA05404) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-03-27 |