| NPI | 1861659633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA 2008004313) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IA 115125) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-03-11 |