| NPI | 1245353309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 18678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71005381A) |
| 363LF0000X Nurse Practitioner Family (Licence: MD R135819) | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704287858) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-01-07 |