| NPI | 1326590068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 599995) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2018-06-27 |