| NPI | 1619986361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 016582-23) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NH 016582-21) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-10-07 |