| NPI | 1548445828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 0000015043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS A810246) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2018-03-17 |