| NPI | 1235523226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19369) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 250164) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2016-11-02 |