| NPI | 1750531711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R855964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 08068) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9468755) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2017-10-19 |