| NPI | 1295953446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5002909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02909) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-01-30 |