| NPI | 1922344407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3009062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 69399) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2014-11-12 |