| NPI | 1356850796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 194737) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2019-12-26 |