| NPI | 1750678181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3006994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71005595A) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2019-06-19 |