| NPI | 1639416829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9234450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5009214) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2018-03-01 |