| NPI | 1750684296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 203688) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2020-03-03 |