| NPI | 1972532224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110615) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-08-25 |