| NPI | 1700028099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9417992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R144887) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2015-11-17 |