| NPI | 1972732659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP010896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F335496-1) |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000561) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2016-04-07 |