| NPI | 1821481938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172430) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-07-02 |