| NPI | 1518968320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 08800625N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP288A) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-12-10 |