| NPI | 1457404287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024173708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN134886) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-08-18 |