| NPI | 1134172232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 5583P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 041336577) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-06-30 |