| NPI | 1669756177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005342) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 225163) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2016-12-13 |