| NPI | 1528419322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE APN 0001821) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-10-03 |