| NPI | 1285988121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9173232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9173232) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2022-09-16 |