| NPI | 1124037676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5007390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 41353077) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-11-21 |