| NPI | 1801312806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009823) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F07171222) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-09-12 |