| NPI | 1376943803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 5980-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 174355) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-02-10 |