| NPI | 1407129794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 16426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3007516) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2023-03-03 |