| NPI | 1700960804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC F 39) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F39) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-10-23 |