| NPI | 1437160231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP03451) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 67000-3451) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-11-02 |