| NPI | 1184935389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168848) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-11-21 |