| NPI | 1356444251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A058793) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-09-02 |