| NPI | 1801157870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN-TP19147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R179272) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2016-09-27 |