| NPI | 1821078023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5001135) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 005001135) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2015-08-26 |