| NPI | 1447448477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 8034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN118082) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2019-01-09 |