| NPI | 1851632582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 5375827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2013004688) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2016-09-20 |