| NPI | 1013304468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-117715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9382314) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-07-21 |