| NPI | 1972844769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN100743) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2023-03-19 |