| NPI | 1114407137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 902700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP10193) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-02-13 |