| NPI | 1891243788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-148942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010695) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2018-03-17 |