| NPI | 1881003861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2013022291) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2018-10-09 |