| NPI | 1144635376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 229280) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-01-17 |