| NPI | 1396976072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1237A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN284255) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2019-08-07 |