| NPI | 1881016921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD RN140127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN960299) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-12-07 |