| NPI | 1356770697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS r882830) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-01-12 |