| NPI | 1528411923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2018-06-04 |