| NPI | 1952474355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARPN3169202) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2017-06-01 |