| NPI | 1376898007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9385895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2266187) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-10-08 |