| NPI | 1508862202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71004352A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3004000) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-02-20 |