| NPI | 1366794877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 81942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9180512) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-04-25 |