| NPI | 1679082705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 7240) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2019-06-26 |