| NPI | 1922240498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1516A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050107NP) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2016-11-28 |