| NPI | 1861832305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006246) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 221608) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-11-26 |