| NPI | 1588757207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP2210752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 2210752) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-04-07 |