| NPI | 1710229984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP07276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA RN123032) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-10-16 |