| NPI | 1396172706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 1657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AK 1389) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-07-30 |