| NPI | 1972574176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017137828) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-09-12 |