| NPI | 1194815332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-149548) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: IN 28146013A) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-07-25 |