| NPI | 1801992532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A-105358) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-06-27 |