| NPI | 1881007086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1066454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-066454) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-11-25 |