| NPI | 1427451608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP024795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN-0992063-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: WY 41718.1781) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2023-04-04 |