| NPI | 1952795502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R886378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08204) |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2018-03-17 |