| NPI | 1841606613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP08238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1033679) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2016-10-31 |