| NPI | 1346530318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 2010016597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A110913) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-01-11 |