| NPI | 1669498838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0005527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 184663) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-07-25 |