| NPI | 1275086977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3010524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71006540A) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2017-12-07 |