| NPI | 1295280725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0172355) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-09-29 |