| NPI | 1265746002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 20124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5004752) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2016-06-22 |