| NPI | 1952879744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC CABL-49JAIC) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-06-05 |