| NPI | 1538537048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20393) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2016-10-31 |