| NPI | 1265781868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16899) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-09-24 |