| NPI | 1922273945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2009005933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-46188-072) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2014-08-26 |