| NPI | 1992089627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-153016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R883871) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95000043) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2017-02-22 |