| NPI | 1184128365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP09887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA RN139817) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-02-07 |