| NPI | 1215208202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 4731-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A153039) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2021-08-20 |