| NPI | 1447633961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2015019806) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005830) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2022-11-28 |