| NPI | 1124333927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-55834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 27536) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2020-01-24 |