| NPI | 1851725238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A102207) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IA A102207) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2016-04-19 |