| NPI | 1114953106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 201126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 1143) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-07-30 |