| NPI | 1972945673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0713047) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2016-12-05 |