| NPI | 1730547878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5008375) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 184549) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-03-30 |