| NPI | 1700236908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-107759) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2018-02-14 |