| NPI | 1427308881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3007300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71004139A) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-11-01 |