| NPI | 1184905283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4072) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2020-05-18 |