| NPI | 1982687885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010433) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-10-21 |