| NPI | 1831321348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1265A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3971) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2018-10-30 |