| NPI | 1912198003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 16482) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-08-10 |