| NPI | 1144728718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 65046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95008439) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-08-22 |