| NPI | 1144619149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3009088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2271909) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-03-12 |