| NPI | 1164664348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MS R701653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R701653) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2020-08-18 |