| NPI | 1225222326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 2007007165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 17799) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-02-09 |