| NPI | 1851398747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3919) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-12-06 |