| NPI | 1326489139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A164108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111498) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-08-17 |