| NPI | 1427346667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95008955) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2022-05-13 |