| NPI | 1437411436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 22265) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5008317) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024170039) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-07-18 |