| NPI | 1144776436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0000833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173687) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-08-23 |