| NPI | 1922318484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3006663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71003523A) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2021-01-19 |