| NPI | 1740231661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3134692) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-04-12 |