| NPI | 1821382631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R864865) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2016-09-26 |