| NPI | 1699823831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201350104NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R163107) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2019-04-10 |