| NPI | 1003116567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 241509) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2018-11-05 |