| NPI | 1821441775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008734) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008734) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272994) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2019-02-27 |