| NPI | 1487718938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5002292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 005002292) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2019-02-06 |