| NPI | 1265474100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP1989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME AP101036) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-07-21 |