| NPI | 1346673852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2013029015) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-06-08 |