| NPI | 1174948210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24282) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2020-08-27 |