| NPI | 1881973394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A143917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6946) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 4454-033) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2019-09-26 |