| NPI | 1942618459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A137585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD SD-CNPCP000875) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |