| NPI | 1760849343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A115619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A115819) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2020-10-14 |