| NPI | 1336643444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD 142487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC 67452) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |