| NPI | 1447549951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 17462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15516) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2017-09-13 |