| NPI | 1134427644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 15242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024171266) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2022-05-26 |