| NPI | 1972734499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R35620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP928A) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2024-06-04 |