| NPI | 1679846117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024171048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.009379) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2016-10-19 |