| NPI | 1366840332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9213653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9213653) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2016-02-09 |