| NPI | 1386044832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A083627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112377) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2021-09-19 |