| NPI | 1073530515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R24684) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R24684) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8464) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-10-05 |