| NPI | 1861972424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A103058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 103058) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-10-18 |