| NPI | 1316358690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 901534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 18832) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2025-05-27 |