| NPI | 1043744386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009441) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 178370) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-03-17 |