| NPI | 1235439183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3006681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006681) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2018-10-03 |