| NPI | 1093065419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 3-000743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 877693) |
| 363LF0000X Nurse Practitioner Family (Licence: AL 1-192610) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-06-30 |