| NPI | 1083189948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 227716) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-11-22 |