| NPI | 1508939505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN23715) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-02-06 |