| NPI | 1134562382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 139256) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-02-21 |