| NPI | 1881070951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991719) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2020-03-24 |