| NPI | 1396157830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R31841) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R31841) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-05-29 |