| NPI | 1356876866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002951) |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2019-03-21 |