| NPI | 1841294709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9429926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3672P) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-10-11 |