| NPI | 1518392026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005095A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2281263) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2015-02-25 |