| NPI | 1396719233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R236714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP008523) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2019-02-06 |