| NPI | 1700259199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 126252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC ARN-XOT5AI) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2017-08-21 |