| NPI | 1235537267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-147272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R877083) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-06-20 |