| NPI | 1992823082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 12478) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-03-22 |