| NPI | 1003046939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A143918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SD CP000555) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2017-05-11 |