| NPI | 1255589313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 3617) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-11-21 |