| NPI | 1508828518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201283) |
| Additional Taxonomies | 2088P0231X (Licence: NC 201283) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2017-04-25 |