| NPI | 1659772473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9322962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5007154) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2018-08-17 |