| NPI | 1124543681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 1989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE F06171629) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |