| NPI | 1427501683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 102792) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 102792) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008737) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2018-12-14 |