| NPI | 1881072387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 878868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19630) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2020-08-25 |