| NPI | 1871841312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 105011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005793) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-10-26 |