| NPI | 1679782478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R872526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-099690) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-12-26 |