| NPI | 1013343342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 264331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006461) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2016-12-06 |