| NPI | 1437354974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 201390) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-06-26 |