| NPI | 1285158576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9279816) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-12-20 |