| NPI | 1245483254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 049141-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012571) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2019-10-23 |