| NPI | 1356743231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP026687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN646957) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2025-01-20 |