| NPI | 1174733828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 22589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1062049) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9162862) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-08-22 |