| NPI | 1427253111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201392970NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 11793) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2017-03-16 |