| NPI | 1154863520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA f0317639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA f0317639) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |