| NPI | 1184708901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 200749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 126326) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-09-20 |