| NPI | 1952403768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5001813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5001813) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 136872) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-04-25 |