| NPI | 1992154959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0516317) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-09-28 |