| NPI | 1174022354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A129973) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9248682) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9248682) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-06-30 |