| NPI | 1972749588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 000782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV T700202) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2024-08-28 |