| NPI | 1942342993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002932) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 2006004420) |
| 363L00000X Nurse Practitioner (Licence: NC 5002932) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-08-10 |