| NPI | 1033594296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC005328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9432222) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2023-08-15 |