| NPI | 1134662174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 7032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95005499) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2020-01-23 |