| NPI | 1619117496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R126542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE LG0000263) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2016-05-09 |