| NPI | 1477733434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 77200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2016005880) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2023-11-09 |