| NPI | 1588181630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD RN235800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2278133) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-06-13 |