| NPI | 1891184628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO8110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08110) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-10-14 |