| NPI | 1548593817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R895953) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA 703955901) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2019-04-23 |