| NPI | 1447293253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP007895) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP006817C) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-12-08 |