| NPI | 1689945271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 6470833-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 6470833-8900) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |