| NPI | 1902229297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18670) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2016-11-28 |