| NPI | 1134536436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 811358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024171874) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2018-09-13 |