| NPI | 1780037820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 074194-23) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2018-06-04 |