| NPI | 1740421304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA H-121735) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA 121735) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2016-10-10 |