| NPI | 1194142075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP007758) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2019-05-13 |