| NPI | 1285052209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS A810586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 20819) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2016-06-06 |