| NPI | 1003046616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R41616) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R863756) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2016-12-09 |