| NPI | 1396031464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 813074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 4426-33) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-11-08 |