| NPI | 1255591368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 12446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 13002-33) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2022-08-01 |