| NPI | 1730325671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 90408) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004228) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2016-09-13 |