| NPI | 1144797085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10003750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN228546) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-03-21 |