| NPI | 1982026514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN164370) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2015-09-21 |