| NPI | 1386901254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 0000024052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3007392) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-03-24 |