| NPI | 1649533316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC F1307) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2015-11-03 |