| NPI | 1518190404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R177602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010424) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2014-12-08 |