| NPI | 1063855971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5006738) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A096066) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2024-02-07 |