| NPI | 1134523509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1111798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-111798) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2021-12-06 |