| NPI | 1841443272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R860436) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2020-01-24 |