| NPI | 1851373021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN2669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC APN2669) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2019-03-27 |