| NPI | 1417454265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 2017017024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9482655) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-10 |