| NPI | 1578846895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP2389) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2019-09-12 |