| NPI | 1497160899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19318) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-09-29 |