| NPI | 1356673743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP013690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000572) |
| 363LF0000X Nurse Practitioner Family (Licence: PA 027118) | |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2022-10-20 |