| NPI | 1679552095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A-085358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A085358) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-02-13 |