| NPI | 1134589542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2008007305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 14106475111) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-04-12 |