| NPI | 1891100988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 281173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9373495) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2016-02-05 |