| NPI | 1427332790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 4571-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4571-33) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2023-06-20 |