| NPI | 1346597515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-093735) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9174159) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2021-11-03 |