| NPI | 1649426826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001303) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: AZ AP3104) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2017-01-19 |