| NPI | 1285010843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007848) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2020-12-15 |