| NPI | 1598833279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704254611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71002297A) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-02-20 |