| NPI | 1457608382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170124) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2015-12-31 |